Jocelyn M Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

55020003632 Issued in MI

Practice address

705 S Main St Ste 220
Plymouth, MI 48170-5436

Phone

(734) 354-8000

NPI assigned

Jun 14, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1366881104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST STE 220",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481705436",
            "telephone_number": "734-354-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST STE 220",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481705436",
            "telephone_number": "734-354-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOCELYN",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "55020003632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackee Smith
• Jacob Smith
• Janessa Smith
• Jason Andrew Smith, MA TLLP LLPC
• Jenelle Smith
• Joshua T Smith, DPT
• Kathleen Marie Smith, RN, MSN, AGPCNP-BC
• Kristen Smith
• Kruger B Smith Jr.
• Laurie Smith, LMSW, CDE

• Physical Therapy Assistant in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.